MedicaidPrior AuthMedium impact
Medicaid Alert MA2020-03
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has temporarily authorized Community Support Services (CSS) for COVID-19 related care without requiring standard prior authorization processes. This emergency policy streamlines access to community-based support services during the pandemic.
Action Required
Immediately: Billing team should verify if practice provides Community Support Services and update prior authorization workflows to reflect temporary waiver for COVID-19 related CSS claims. Contact New Jersey Medicaid for specific billing guidelines and ensure proper documentation of COVID-19 relationship for these services.